Healthcare Provider Details

I. General information

NPI: 1144292061
Provider Name (Legal Business Name): JULIE ESCHENBRENNER AUDIOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 EMPIRE RD STE 220
LAFAYETTE CO
80026-2677
US

IV. Provider business mailing address

380 EMPIRE RD STE 220
LAFAYETTE CO
80026-2677
US

V. Phone/Fax

Practice location:
  • Phone: 303-776-1234
  • Fax: 720-494-3107
Mailing address:
  • Phone: 303-776-1234
  • Fax: 720-494-3107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD 331
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: